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AR Lab network Alert Report Form for Bacterial Specimen Testing
Public Health Laboratory Testing for Emerging Antibiotic Resistance and Fungal Threats
OMB: 0920-1310
IC ID: 239436
OMB.report
HHS/CDC
OMB 0920-1310
ICR 201912-0920-013
IC 239436
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1310 can be found here:
2023-02-28 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-19AYV
AR Lab network Alert Report Form for Bacterial Specimen Testing
Form and Instruction
0920-19AYV AR Lab Network Alert Report Form for Bacterial Specimen
Attachment 3d Form 4 AR Lab Network Alert Report Form for Bacterial Specimen Testing final.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
AR Lab network Alert Report Form for Bacterial Specimen Testing
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-19AYV
AR Lab Network Alert Report Form for Bacterial Specimen Testing
Attachment 3d Form 4 AR Lab Network Alert Report Form for Bacterial Specimen Testing final.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
55
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,870
0
0
0
1,870
0
Annual IC Time Burden (Hours)
187
0
0
0
187
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.